Physical Medicine Center LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PHYSICAL MEDICINE CENTER LLC

Practice address

2686 Monroeville Blvd
Monroeville, PA 15146-2302

Phone

(412) 372-3772

Fax

(412) 372-3688

NPI assigned

Feb 23, 2015

Last updated

Feb 23, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Benjamin Shultz, D.C.NPI 1174622088

Title

Owner

Phone

(412) 372-3772

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Benjamin Jason Shultz, D.C.

  • Chiropractor
  • Monroeville, PA
  • NPI 1174622088
  Medicare reassignment Care Compare group Authorized official
• Tara Bickers, CRNP

  • Family Nurse Practitioner
  • Pittsburgh, PA
  • NPI 1851058564
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1255723649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2686 MONROEVILLE BLVD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462302",
            "telephone_number": "412-372-3772",
            "fax_number": "412-372-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2686 MONROEVILLE BLVD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462302",
            "telephone_number": "412-372-3772",
            "fax_number": "412-372-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "SHULTZ",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-372-3772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane Petrelli
• Jessica Petrie
• Debra Petrosky, PTA
• Emma C Pevarnik, PA
• Cong Thanh Phan, MD
• Physician Landing Zone P.C. (Orthopedic Associates of Pittsburgh)
• Physician Landing Zone, P.C. (Arthritis & Rheumatic Disease)
• Physician Landing Zone, P.C. (Donald M. Keenan, M.D.)
• Laura Picciafoco-Brown, COTA/L
• Kim Pierce, MS, RD, LDN

• Physical Medicine & Rehabilitation Physician in Monroeville, PA
• Providers in Monroeville, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.